Benefits and Authorization Phone Representative, Revenue Cycle, UT Health Austin
4 weeks ago
Job Details
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General Notes
A hybrid work schedule (working onsite and remotely) is available for this position after onsite training and successful performance review have been completed. Must have 1 year of medical front office experience. Previous experience in Athena a plus.
Purpose
Initial contact for patients with inquiries regarding benefits, authorizations, and benefits and authorization tasks.
Responsibilities
Serves as primary contact for the benefits and authorization, English and Spanish, phone queue system and other electronic multi-media requests (email, patient case, etc.).
Provides customer service to patients by obtaining and updating patient insurance information and providing education to patients regarding benefits, copays, deductibles, and out-of-pocket expense.
Ensures that patient benefit amounts are correctly entered into the EHR, allowing front desk to collect appropriately.
Communicates effectively to patients regarding changes in their benefits or plan requirements.
Reports recurring insurance payment discrepancies and work with revenue cycle management to resolve.
Demonstrates good judgement in escalating identified patient concerns, root causes and trends to revenue cycle management to ensure timely resolution and communication to patients.
Follows federal, state and local regulatory requirements related to patient finances. Adheres to established timelines per organizational policy.
Meets or exceeds established performance targets established by the Clinical Revenue Cycle Director.
Maintains working day-to-day knowledge of the EHR.
Other duties and special projects as assigned.
Required Qualifications
High school diploma, GED, or equivalent is required. A minimum of 1 year of relevant experience required. Previous experience working with an electronic health record (EHR) software and general billing functions. Knowledge of patient accounts of different specialties such as orthopedics, OB/GYN, general surgery, and billing procedures. Capable of communicating effectively with patients and the health care team, including the ability to explain billing procedures, insurance benefits to patients and collect payments. De-scalation techniques to resolve escalating matters. Knowledge of and/or experience with insurance and authorization for Medicare, Medicaid, commercial, and managed care insurance plans. Knowledge of insurance agency operating procedures and practices. Ability to communicate effectively with patients, payers, providers, and the clinical care units. Professional verbal and written communication. Must respect the confidential nature of medical information. Capable of following established departmental procedures. Capable of using experience and judgement to plan and accomplish goals. Proficient use of computers and a working knowledge of Microsoft Office. Able to read and interpret documents such as charts, safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to function in a fast paced environment. Ability to be flexible with assignments and multi-task as needed. Ability to demonstrate problem solving skills in dealing with insurance and patient estimate issues.
Preferred Qualifications
More than the required years of experience in healthcare center billing, bilingual in Spanish, deep knowledge of multidisciplinary patient benefits, payer websites and Athena experience. Knowledge of operating an electronic telephone software system. Bachelor’s degree and/or certification in a relevant field. Experience with Microsoft Teams, REDCap or Smartsheet.
Salary Range
$45,000+ depending on qualifications
Working Conditions
Repetitive use of a keyboard Standard office conditions both in the office and hybrid
Required Materials
Resume/CV
3 work references with their contact information; at least one reference should be from a supervisor
Letter of interest
Important for applicants who are NOT current university employees or contingent workers: You will be prompted to submit your resume the first time you apply, then you will be provided an option to upload a new Resume for subsequent applications. Any additional Required Materials (letter of interest, references, etc.) will be uploaded in the Application Questions section; you will be able to multi-select additional files. Before submitting your online job application, ensure that ALL Required Materials have been uploaded. Once your job application has been submitted, you cannot make changes.
Important for Current university employees and contingent workers: As a current university employee or contingent worker, you MUST apply within Workday by searching for Find UT Jobs. If you are a current University employee, log-in to Workday, navigate to your Worker Profile, click the Career link in the left hand navigation menu and then update the sections in your Professional Profile before you apply. This information will be pulled in to your application. The application is one page and you will be prompted to upload your resume. In addition, you must respond to the application questions presented to upload any additional Required Materials (letter of interest, references, etc.) that were noted above.
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Employment Eligibility:
Regular staff who have been employed in their current position for the last six continuous months are eligible for openings being recruited for through University-Wide or Open Recruiting, to include both promotional opportunities and lateral transfers. Staff who are promotion/transfer eligible may apply for positions without supervisor approval.----
Retirement Plan Eligibility:
The retirement plan for this position is Teacher Retirement System of Texas (TRS), subject to the position being at least 20 hours per week and at least 135 days in length.----
Background Checks:
A criminal history background check will be required for finalist(s) under consideration for this position.
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